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Duke University Health System seeks a Wound, Ostomy, and Continence Clinical Service Nurse (WOC CSN) to provide specialized care and education to patients with stomas and wounds. This role involves collaborating with interdisciplinary teams and educating nursing staff to ensure high-quality patient care. The position is PRN, requiring flexibility in scheduling.
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The Wound, Ostomy, and Continence Clinical Service Nurse (WOC CSN) provides care to patients with
stomas, draining wounds, or incontinence, throughout the organization. This includes utilization of clinical
expertise to provide preoperative and postoperative care, counseling, and teaching to patients 0-99 years
of age in need of wound, ostomy, and / or continence management. The WOC CSN’s primary
responsibility is to educate nurses to ensure knowledge and competency in basic wound, ostomy and
continence management; and works collaboratively with the interdisciplinary team in a variety of
specialties in planning and coordinating the care. The WOC CSN is an integral part of multiple teams, as
a clinician, educator and consultant.
Job Hours
PRN Days, as needed
Job Duties and Responsibilities
• Plan and provide professional nursing care for patients in accordance with physician orders and
established policies and procedures (Direct Care)
• Identifies patient caseload through referrals and active case finding.
• Conducts complete and accurate patient assessment
• Provides specialized nursing treatment, care and education to patients with wounds
• Provides specialized nursing treatment, care, stomal siting, and education to patients undergoing
urinary or stool diversion in accordance with physician/nursing orders and established policies and
procedures
• Provides specialized nursing treatment, care, and education to patients with draining wounds or
requiring continence management or other specialized urologic interventions (such as clean intermittent
self-catheterization or continuous bladder irrigation)
• Selects, develops and/or implements evidence-based clinical interventions and systems to achieve
defined patient and system outcomes
• Serves as a resource to patients and families, providing preoperative counseling and follow-up problem
solving after discharge from the hospital
• Utilizes comprehensive assessment skills in the evaluation of stoma and wound care products and
supplies in an effort to provide quality, cost-effective care
• Assist patients and families with the understanding of their diagnosis and the management thereof
• Identifies patient/family education needs and priorities
• Coaches patients and families to help them navigate the healthcare system
• Utilizes teaching and learning theories to assist patients and families with physical and emotional
impact of body changes and chronic illness
• Provides additional information/community resources to enhance the patient’s quality of life as it relates
to the alterations in body image and life style
• Participates in developing, implementing and evaluating patient education resources and programs
appropriate to the patient’s developmental level, health literacy level, learning needs, readiness to
learn, and cultural values and beliefs
• Assesses learning needs of nursing staff; participate in planning and implementing appropriate
educational forums and opportunities to address critical learning needs and skills
• Assist nursing personnel in the delivery of nursing care functioning as an integral member of the
multidisciplinary team
• Establishes collaborative relationships within and across departments that promote patient safety,
culturally competent care, and clinical excellence
• Serves as a resource and consultant to nursing members of the healthcare community and to the larger
community in areas of wound, ostomy, and continence management strategies
• Practices collegially with medical staff and other members of the healthcare team
• Participates in and supports accreditation and regulatory activities of Duke Hospital
• Facilitates the provision of clinically competent care by staff/team through education, role modeling,
teambuilding, and quality monitoring
• Role models advanced practice professional nursing through conduct, appearance, communication,
mutual respect, leadership, ethical decision-making, critical thinking, continuous learning and problemsolving
skills
• Uses effective strategies for changing clinician and team behavior to encourage adoption of evidencebased
practices and innovations in care delivery
• Assist in the development and implementation of general policies and procedures and quality
improvement designed to effect efficiency of operations
• Participates in nursing and interdisciplinary process improvement projects, product evaluation, outcome
evaluation studies, and / or clinical research
• Uses quality-monitoring data to assess the quality and effectiveness of clinical programs in meeting
outcomes
• Promotes evidence-based practice through participation in developing, implementing, and evaluating
process standards such as plans of care, protocols, and guidelines
• Applies principles of evidence-based practice and quality improvement to all patient care
CLINICAL NURSE, WOUND CARE, PRN
Job Summary
The Wound, Ostomy, and Continence Clinical Service Nurse (WOC CSN) provides care to patients with
stomas, draining wounds, or incontinence, throughout the organization. This includes utilization of clinical
expertise to provide preoperative and postoperative care, counseling, and teaching to patients 0-99 years
of age in need of wound, ostomy, and / or continence management. The WOC CSN’s primary
responsibility is to educate nurses to ensure knowledge and competency in basic wound, ostomy and
continence management; and works collaboratively with the interdisciplinary team in a variety of
specialties in planning and coordinating the care. The WOC CSN is an integral part of multiple teams, as
a clinician, educator and consultant.
Job Hours
PRN Days, as needed
Job Duties and Responsibilities
• Plan and provide professional nursing care for patients in accordance with physician orders and
established policies and procedures (Direct Care)
• Identifies patient caseload through referrals and active case finding.
• Conducts complete and accurate patient assessment
• Provides specialized nursing treatment, care and education to patients with wounds
• Provides specialized nursing treatment, care, stomal siting, and education to patients undergoing
urinary or stool diversion in accordance with physician/nursing orders and established policies and
procedures
• Provides specialized nursing treatment, care, and education to patients with draining wounds or
requiring continence management or other specialized urologic interventions (such as clean intermittent
self-catheterization or continuous bladder irrigation)
• Selects, develops and/or implements evidence-based clinical interventions and systems to achieve
defined patient and system outcomes
• Serves as a resource to patients and families, providing preoperative counseling and follow-up problem
solving after discharge from the hospital
• Utilizes comprehensive assessment skills in the evaluation of stoma and wound care products and
supplies in an effort to provide quality, cost-effective care
• Assist patients and families with the understanding of their diagnosis and the management thereof
• Identifies patient/family education needs and priorities
• Coaches patients and families to help them navigate the healthcare system
• Utilizes teaching and learning theories to assist patients and families with physical and emotional
impact of body changes and chronic illness
• Provides additional information/community resources to enhance the patient’s quality of life as it relates
to the alterations in body image and life style
• Participates in developing, implementing and evaluating patient education resources and programs
appropriate to the patient’s developmental level, health literacy level, learning needs, readiness to
learn, and cultural values and beliefs
• Assesses learning needs of nursing staff; participate in planning and implementing appropriate
educational forums and opportunities to address critical learning needs and skills
• Assist nursing personnel in the delivery of nursing care functioning as an integral member of the
multidisciplinary team
• Establishes collaborative relationships within and across departments that promote patient safety,
culturally competent care, and clinical excellence
• Serves as a resource and consultant to nursing members of the healthcare community and to the larger
community in areas of wound, ostomy, and continence management strategies
• Practices collegially with medical staff and other members of the healthcare team
• Participates in and supports accreditation and regulatory activities of Duke Hospital
• Facilitates the provision of clinically competent care by staff/team through education, role modeling,
teambuilding, and quality monitoring
• Role models advanced practice professional nursing through conduct, appearance, communication,
mutual respect, leadership, ethical decision-making, critical thinking, continuous learning and problemsolving
skills
• Uses effective strategies for changing clinician and team behavior to encourage adoption of evidencebased
practices and innovations in care delivery
• Assist in the development and implementation of general policies and procedures and quality
improvement designed to effect efficiency of operations
• Participates in nursing and interdisciplinary process improvement projects, product evaluation, outcome
evaluation studies, and / or clinical research
• Uses quality-monitoring data to assess the quality and effectiveness of clinical programs in meeting
outcomes
• Promotes evidence-based practice through participation in developing, implementing, and evaluating
process standards such as plans of care, protocols, and guidelines
• Applies principles of evidence-based practice and quality improvement to all patient care
Job Eligibility RequirementsEducation
• Graduate of an accredited BSN program
License
• Current unrestricted RN license issued by the NCBON
Certification
• Nationally recognized certification in Wound and Ostomy management is required
Experience
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